Coleman, Timothy Edison

Coleman, Timothy Edison is an individual health care provider with primary practice located at 1263 Lake Plaza Dr Ste 230 , Colorado Springs CO 80906-3512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coleman, Timothy Edison can be contacted via phone (719) 776-3300.

Contact Information

Primary practice address
1263 Lake Plaza Dr Ste 230 Colorado Springs CO 80906-3512
Phone: (719) 776-3300
Fax: (719) 776-3329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35. 074022 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0048752 Colorado

Profile Details

NPI number 1962473165
LBN Legal business name Coleman, Timothy Edison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962473165 NPPES
Ohio MEDICAID 2126283
Ohio MEDICAID 32403861

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